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This intake form is designed to help me to understand your unique needs, goals, and any health considerations that may impact your yoga practice.

Even for regular students, keeping this information up to date ensures that classes can be adapted to support your well-being, safety, and personal growth.

All information is confidential and used solely to provide you with a safe and supportive yoga experience.

 

Thank you for taking the time to share!

Date of Bith
Dia
Mês
Ano
Have you practiced Yoga before?
Yes
Not
Physical Conditions
Mark (if any) one of the mental and emotional conditions below:
How did you hear about these classes?

Practice Songs

Savasana Songs

  • Yoga Practice Songs
  • Instagram
  • Savasana Songs

Created with love and purpose by Shell

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